Shannen Zimmerman
Individual provider Active NPI Case Manager/Care Coordinator · Hillsdale, WY
NPI 1376795211 · NPPES record last updated Oct 22, 2008
Key facts
- NPI
- 1376795211
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 4172 County Road 214
Hillsdale, WY 82060 - Phone
- (307) 214-8162
- NPI assigned
- Oct 22, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
4172 County Road 214
Hillsdale, WY 82060
Mailing address
PO Box 10
Hillsdale, WY 82060-0010
Phone (307) 214-8162
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 22, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.